Keywords
Device Migration
Septal Occluder
How to Cite
Abstract
Atrial septal defect is a common congenital acyanotic heart disease which is treated with either surgical closure or
transcatheter closure. Although surgical closure is gold standard, transcatheter device closure is gaining popularity
worldwide and in Nepal due to favourable outcome in selected patients. Device migration following transvenous closure of atrial septal defect is a common problem but its lodgment in right pulmonary artery is a rarely encountered and reported clinical scenario. Here, the authors report a case of 42-year-old female who had an embolisation of Amplatzer septal occluder to right pulmonary artery requiring urgent surgical intervention to retrieve the device.
References
Masura J, Gavora P, Formanek A, Hijazi ZM. Transcatheter closure of secundum atrial septal defects using the new self-centering Amplatzer septal occluder: initial human experience. Cathet Cardiovasc Diagn. 1997;42:388-93. [Pubmed| Full Text|DOI]
Majunke N, Bialkowski J, Wilson N, Szkutnik M, Kusa J, Baranowski A, et al. Closure of atrial septal defect with the Amplatzer septal occluder in adults. Am J Cardiol. 2009;103:550-4.[Pubmed| Full Text|DOI]
Tan CA, Levi DS, Moore JW: Embolization and transcatheter retrieval of coils and devices. Pediatr Cardiol. 2005;26:267–74.[Pubmed| Full Text|DOI]
Yetkin U, Yurekli I, Akyildiz ZI, Gokalp O, Tetik O, Lafci B, et al. Emergency surgical approach to device emboli due to migration of the atrial septal defect occluder. Arch Med Sci. 2014;10:464-9.[Pubmed|Full Text|DOI]
Kim HH, Yi GJ, Song SW. Late Migration of Amplatzer Septal Occluder Device to the Descending Thoracic Aorta. Korean J Thorac Cardiovasc Surg. 2017;50(1):47-9. [Pubmed| Full Text| DOI]
Braga SLN, Sousa AGMR, Pedra CAC, Esteves CA, Pedra SRFF, Fontes VF. Clinical efficacy and safety of the percutaneous treatment of secundum atrial septal defect with the Amplatzer occluder. Arq Bras Cardiol. 2004;83:7–13. [Pubmed| Full Text| DOI]
Atmani N , Mitchell J, Metton O, Ninet J. Emergency Surgical Retrieval of an Amplatzer Septal Occluder Device Embolization. Cardiol Cardiovascmed. 2017; 1 (6): 248-51. [|Full Text| DOI]
Nagre SW. Surgical removal of embolized atrial septal defect device from pulmonary artery. J Thorac Cardiovasc Surg. 2015;150(4):e55-7. [Pubmed| Full Text|DOI]
Saito T, Düsterhöft V, Hetzer R. Migration of Amplatzer Septal Occluder to the Deep Aortic Arch in a Patient With Multiple Anatomic Anomalies. Ann Thorac Surg. 2015;100 (1):318-20. [Pubmed| Full Text| DOI]
Wadhawa V, Doshi C, Hinduja M, Garg P, Patel K, Mishra A, et al. Anterior Minithoracotomy: a Safe Approach for Surgical ASD Closure & ASD Device Retrieval. Braz J Cardiovasc Surg. 2017;32(4):270-5. [Pubmed| Full Text| DOI]